LISA HAWORTH MD
NPI 1104942598
Family Medicine in Henderson, NV
About Lisa Haworth Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISA HAWORTH MD (NPI 1104942598) is a healthcare organization registered as a family medicine in Henderson, Nevada and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through August 14, 2027 and lists Lisa Haworth, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 29D0990146
Lisa Haworth MD · Henderson, NVOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Lisa Haworth MD PC's NPI number?
The NPI number for Lisa Haworth MD PC is 1104942598. It was assigned to this organization in the NPPES registry on March 21, 2007. The provider is doing business as Lisa Haworth MD.
Where is Lisa Haworth MD PC located?
Lisa Haworth MD PC is located at 2482 W Horizon Ridge Pkwy Suite 110, Henderson, NV 89052. The listed phone number is (702) 719-6003.
What is Lisa Haworth MD PC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Does Lisa Haworth MD PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 29D0990146) is associated with this NPI, valid through August 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Lisa Haworth MD PC was last updated on June 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Lisa Haworth Md · NPI 1104942598
Family Medicine organization in Henderson, Nevada. Organization record, active in the CMS NPPES registry since March 21, 2007.
## Identity
- **NPI:** 1104942598 (Entity type: Organization)
- **Enumerated:** March 21, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Lisa Haworth Md Pc
- **Organization subpart:** No
- **Authorized official:** Lisa Haworth, PRESIDENT
## Practice location
- **Address:** 2482 W HORIZON RIDGE PKWY, SUITE 110, Henderson, NV 89052-2728
- **Phone:** (702) 719-6003
## Record status
- **NPPES last updated:** June 2, 2014
- **Other identifiers:** Medicare PIN V107404
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1104942598) · Data from the CMS NPPES public registry.